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AF - 46933�� City of Fridley AT THE TOP OF THE TWINS � i � � �,L _.__� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. i__--� ��"' �-� CITY HALL FRIDLE� 55432 i 612-571-3450 SUBJECT BU ILDING PERMIT� � NUMBER REV. DATE PAGE OF 910-F15 ca /�� /u� � � JOB ADDRESS 581 Ironton Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION nESCR. 27, 28 F Rivervieur Heights 2 PROPERTY OWNER MAIL ADDRESS Z�P Ron Wuollet 581 Ironton Street N.E. 3 CONTRACTOR MAlLAODRESS Z�P Vizecky Constructi:on Cb. Inc. 323 West 48th Street 4 ARCHITECT OR DESIGNER MAIL ADDRESS Z�P 5 ENGINEER MAILADDRESS Z�P 6 USE OF BUILDING Residenfiaal 7 CLASS OF WORK ❑ NEW 8 DESCRIBE WOHK Reside 9 CHANGEQFUSEFROM ��A1T N O. ` 16776 R�r nI,U! � �� APPROVED BV SEE ATTACHED SHEET PHONE 780-5034 PHOWE LICENSE NO. 827-8235 PHONE LICENSE NO. PHONE LICENSE NO. ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE O REMOVE and Reroof Dwelli ro STIPULATIONS Rflof can he only the 2nd and not the 3rd layer. Install ridged � galvanized valleyse TYPE OF CONST. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTI�ATING OR AIR CONDITIONING. �Ph�-tl�- THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OFi IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �. AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED $5,450 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S UCTION OP THE PERFOFMANCE OF CONSTRUCTION. �SSG.rJO � PLAN CHECK FEE � �J� — � �� ' SIGNAT EOFCONTRACTORORAUTHOR12EDAGENT IDA EI WHEN PR' �ne�°. � �,.,."—'r� SQ GROUP IOCCUPANCYLOAD CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX $2.%2 SAC CHARGE TOTALFEE $59.22 LIDATED THIS IS VOUR PERMIT e CITY OF fRIDICY Effective Auq. 1, 1981 APPLICATI�� FOfi RESIDCNTIRi. BU1LD1i�G PL•Ri4ITS (Nc��. Alterations. Additions. or Repairs) Ol�lt�ER: ,� C� V� � U O�, �- e, ( ADDP.ESS : 5 � I -� �� f� ( � � TEL N0: ' v? ��' -- � �' .� �f - BUILDER: � �e� �J �� i cv �:��. ADD1tCSS: j 2 � c--� 'a` � �' �� TEL t�0: �� - �" �, ;�,� Constructicn Location . STRI�TrT NO: ?S STItEET: � /�,G �� -"' f� � r � �L`` � � ,�° % P , _ : n�� LOT: �. ��,_, �� SLOCR t tf"' 11DDITION : d�'`�-''l�G c�e�� o�� ___..._ Corner Lot: Insii3e Lot: Setbacr: Sicleyards: 1►p�licant attach to this fozm two Certificates of Svrvey of lot ar�8 pzoposed building locatiea� �rawn on certiffcates to scale. DESCRiPTiOid OF COF�STRUCTiOW �-�c�� -�r Front: Depth: Hefght: Square Feeta Cibic Feet: Front: Deptha Hefght: Squa, e Feet: A�bic �eet: �� % A Lt,t��7 � �-+u, rj � . . �1 �� Rype of Corstruction s- �_ �� c- Estimated Costa S�"/�� Zb 8e �r.�plete8: % G �� j �� ' �ilt. A Alt. B Proposed Drivc��ay kiath If New Opening Is Desired: S� S ' , , SE� REVERSE SIDE OF SHF.ET � The undersigned hereby ma};es application for a pezmit for the work herein specified, agreeing to cb ,all vork ti, strict eccor8ancc wfth the City of Fridley Ordinances ana ruliug� of the Degartmc�t of Duilaings, ancl hereby declares that all the facts and repres�tatiens stated isi this agp�.�.�tiori are tzue and correct. a.��: ci � �-2_� � �-- sicNnlvr�: Stfpulatioris r � � � �� —..� e � � -�'�? - BUILDING PERMIT FEE SCHEDULE The Inapector of buildings shall, befoze issuinq permits for the erecticn of any building or atsuctnze, oz for any aadition to any •xistiag builAiag or structure, or foz any alteratioa or zepairs to any ssisting builaing or structure, upon application thesefore, sequire the payment by tbe applicant foz such permit of �ees to the aaount Deseis� below set fozth and in the aanner hereia provided to-wit: TOTAL Vl1I�iJATIQd 51.00 tiD 5500.00 5501 t� 52.000 52,001 tc $25,000 li�S 510.00 Minimum Fee $15.00 plus surcharge 510.00 for t.he first 5500 plus $1.50 for each additfonal 5100 or fracLion thereof, to ar�d iricluding $2,000 833.50 for the first 52,000 plus S6.00 for each a8ditional $�,000 or fraction thereof, to and including 525,000 525,001 to 550,000 5170.5� foz the first S25,000 plus S4.50 for eaeri a8ditional 51,000 or fractfon thereof, to ar�8 including SSO, 000 550, 001 to �100, 000 S283.00 for the f3zst 550, 000 plus S3. 00 for each additioaal 51,000 or fzaction thezeof, to and including 5100,000 5100,001 ar�ci up $443.00 foz the first $100,000 plus 52.50 for each additional 51,000 or fractfon thereof PLAN CNECZCa 25 perc�►t of buildinq pezmit fee DRIVi3�tAY DEPRESSION ESQtOWa Concrete Q�rb Streets Only Alternate "A": itemoveal ar�d replacement of curb �nd guttez only Driveway wiath plus 6 feet z$13.50 � Alternate "B"a Renoval ana replacemer�t of curb ar�d qutter an� install a 3 foot wide approach with 6 inch c]epth Driveway width plus 6 feet x$15.75 VERIFICATION OF FOUNDATION Permits for const:yction will be issuea a miniminu of 24 hcurs frcm the time of application to allow for proper revie�w of the proposed structure ar�d of the constru ction site. A Certificate of Suxvey of the lot, shawing the location of the foundation once it has been oonstructed will be zequired befor� p�ee�i with the fzaming. , .�, Building i Inspections �� 763-572-3604 DATE /� 'e SITE ADDRESS _, THIS APPLICANT IS <� BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS ❑ OWNER ❑CONTRACTOR PROPERTY OWNER/ I NAME: �+��•T ATTDT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERNIIT TYPE PHONE: % b � �S "° NAME: � STATE LICENSE # EXPDATE i�IQ, Pernut No.: Received By: Date Rec'd: �1�6z��Z.- ADDRESS: CITY STATE ZIP f� SINGLE FAMILY/Ni ❑ TWO FAMILY/NEW 0 BASEMENT FINlSH ❑ DECK TYPE OF WORK: � NEW ❑ MAa DESCRIBE WORK BEING DC SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum 0 Other ❑ ROOF ❑ SIDING ❑ SWIMM � LENGTH OUSE ONLY HOUSE & GARAGE ATTACHED GARAGE 0 DETACHED GARAGE ❑ DRAIN TILE ❑ OTHER WID'TH HEIGHT Ft. gASEMENT REMODELIIVG SUBMTT: 1. Existing F7oor Plan 2. Proposed floor plan 3. List of structura] members to be used � FOR NEW CONSTRUCTION INCLUDING DECKS, ❑Soffit ADDITIONS. & PORCHFS SUBMIT: ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Fascia and proposed project 2. Two sets of construction plans WINDOWS 3. Energy CalculaUons IN EXISTING OPENINGS ❑Yes ❑No LOCATTON OF WINDOWS OR FOR NEW OPENINGS-DESCRiBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEE5 ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDiTLE) TOTAL JOB VALUATION $�� OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Conirol Pazk Fee Sewer Main Charge Tntal Due W c� 1 � c.� � $ — � -_ $ � $ s �/ $ $ $ $ $ $ $ � S7 See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Pemut Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MVJCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THLS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building pemut and I acknowledge that the informarion above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which require review and approval of plans. SIGNATURE OF APPLICANT � PRINT NAME �1�J�/N%�L�DATE��- �� Page 2- Building Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repa.ir to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: VERIFICATION OF FOUNDATION Pernuts for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Faac: 763-502-4977 3uilding :nspections 163-572-3604 BUII..DING RESIDEN'I'IAL APPLICATION CITY OF FRIDLEY )A� �� —� 7'�' –� YOUR E-MAIL ADDRESS ;IT'E ADDRESS � /°�- 7VC /� 'HLS APPLICANT LS: PROPERTY OWNER/ TENANT CONTRACTOR SUBNIIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: ❑CONTRACTOR � NAME: STA'IE LICENSE #. EXP DATE P ermit Received By: Date Rec'd: %�' ��--�3 Z ADDRESS: CITY STATE ZIP PHONE ❑ SINGLE FAMILY/NEW CONSTRU ❑ TWO FAMII.Y/NEW CONSTRUCT ❑ ADDITION � O BASEMENT FINISH i�❑ ❑ DECK /°� ❑ ❑ NEW � o ��nrrc�Am ❑ DESCRIBE WORK BEING DONE: ��-°��' SIZE OF IMPROVEMENT_ NUMBER OF SQUARF.S GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl � Aluminum ❑ Othet F. ❑ DRAIN TILE ❑ OTI3ER E �1�.��.� �� 5'� � �� u V�IDTFi ONLY & GARAGE ❑ ATTAC� GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia WINAOR'S II•i EXISTING OPENINGS OYes ONo IACATION OF WII�iDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENWG CHANGES & �ER OF � D �� t�� HEIGHT Ft �qSIIvIENT REMOAELING SUBMTf: 1. Exist¢mg Floor Plat► 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ,A.DDTI'IONS & PORCHES SUBMTT: l. Site Plan/Survey showing the existing structures and proposed project 2. Two sets of construction plans 3. Energy Calculations TYPE OF WINDOW TO BE INSTALLE ALL FEES ARE BASED ON VALUATION, INCLUDING TAE COST OF LABOR AND MATERIALS: (TJSIN�� 1997 �•B•C FEE SCHEDULE) TAT A T JOB VALUA'�'TnN � �(�� OCCUPANCY T�E Permit Fee Plan Review Fire Surcharge sur�harge License Surcharge SAC Charge Curb G�t Escrow Erosion Control Pazk Fee Sewer Main Charge Total Due $ �^ °�� $ $ "� a�' C`°`' $ I..��- $ $ $ $ $ $ �' TION FOR A PERMIT-NOT VALID UNTIL PROCESSED See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach IS AN I hereby apply for a building permit and I aclmowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work wluch req ' es eview _ d a roval of plans. SIGNATURE OF APPLICANT��`�� % PRINTNAME DAT� �'`�� 7 L� �' Page 2- Buildang Residential Application BUII,DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or sfructure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in. the manner herein provided. to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1� $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1� $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for ea.ch additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each addiiional $1,000 or fraction io and includi.n $100,000 $100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fractioa to and incl ' $500,000 $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued. a min;mtun of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showi.n.g the location of the existing foun.dation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Depar4ment 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 � � � �(p � � �/ Building MECHAIVICAL Inspections RESIDENTIAL APPLICATION 763-572-3604 CITY OF FRIDLEY DATE 1�"Zlll �� YOUR E-NIAI[, ADDRESS --r- STI'E ADDRESS THIS APPLICANT IS: O OWNEIZ CONTRACfOR PROPERTY x,� O�VI�TER/ nnn�ss: TENAI�IT �o�: -7 � �— �3 Permit No.: CONTRACZ�OR co�nx� NnME: .d� 6� A�'�°LJI ��/��i G/Ai�" SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LICENSE # DATE LICENSE WITH ADDRESS- � CITY STATE ZIP APPLICATION �0�7 FAX PERNIIT TYPE TYPE OF WORK: �SINGLE FAMII.Y O TWO FAMII,Y ❑ �w �xerLnc�r DETAII,ED DESCRIPTION OF `UORK � TOWNHaUSE O ALTIItATION/REMODII. i � PER MS 16B.665 the permit fee is a mmffium of 515.0l1 or 5% of We total cost ap to $500.00> whichever is greater, for the improvement, installation or replacement of a residential fixture, eaccluding the fixtures. (This should zeflect only the cost of labor ) Labor cost tmder $300 =$15.00. Labor cost between $300 to $SW = cost of labor x.OS = FOR PROJECTS WFIERE LABOR EXCF�DS $500, FEFS ARE BASID ON $10.00 PIIt FIXT(JRE, EXCEPT WEIERE NOTFA• FIXTURF-S: iII`IDICATE TOTAL xv�Ex oF Eac� BII.ow> �� D'� 0 srz�BTU C.C'LP 1 �� E9a►Pment Inatalled MFCr. Y( MODEL: � MFG: MODII.: SIZEBTTJ MFG: MODII.: SIZE/BTU _A/C $25.00 AIli TO AIIt FXCEiA1�IGFER S15 BOILER $35.00 _CHIlVIl�TEY LII�IQt $10.00 � DUCT �NORK $10.00 PERMIT FEE PROJECTS FO] Permit Fee Surcharge TOTAL DUE FIIiF,PLACE (GAS) $15.00 GAS RANGFJOVF,N $10.00 FIItF�LACE (WOOD) $35.UD NE� GAS GRII.L $10.00 I FI7RNACE $35.00 GAS iJNIT HTR $10.00 �GAS DRYER $10.00 POOL HEATER $35.00 GAS PIPING $L0.00 VENTILATOR $15.00 p�� $Spp PER1vIlT FEE FOR PROJECTS OVER �500 $ Number of fixUues @ $10.U0 x $10.00 = $ $ _Sp Number of fixtur� @ $15.00 x $15.00 = $ $ Number of fixbures @ $25.00 x $25.00 = $ Number of fixdues @ $35.00 � x $35.0(? _ $� State Surcharge = $ 50 Tota1= $ �J� THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSSEID I hereby apply for a building permit and I aclmowledge tl�at the information above is complete and accura.te; that the work will be in conformance with the ordinances �d codes of the City of Fridley and with the Minnesota Construction Codes; that I tmderstand this is not a permit but only an application for a permit and work is not to �t without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPI,ICANT J ll "`� V VVw�IJW'V `x/ � PRINT NAME 11 Y v/� r��✓�M�-�LJ DATE � l`L—lf! � i PLEASE NOTE: SEPARATE ERIvIlTS ARE REQUIRED FOR BUII,DING, EL�C;`1'KLC;, City of Fridley Building Inspectioas Department 6431 Universiiy Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977